先天性主动脉窦瘤的外科治疗  

Clinical Analysls for Congenital Aneurysm of Sinus of Valsalva

作　　者：周明伟[1] 严振球[1] 宁资社[1] 贺端清[1] 袁延才[1] 袁钰鑫[1] 

机构地区：[1]解放军第169医院麻醉科,湖南衡阳421002

出　　处：《临床军医杂志》2006年第4期429-430,共2页Clinical Journal of Medical Officers

摘　　要：目的总结先天性主动脉窦瘤外科治疗经验。方法先天性主动脉窦瘤(CASV)28例,其中合并室间隔缺损18例(64%)、主动脉瓣脱垂7例(25%)。行窦瘤切除修补术11例,窦瘤切除加室缺修补10例,窦瘤切除加主动脉瓣成形2例、主动脉瓣替换5例。结果全组无手术死亡、无残余分流。结论心脏超声对CASV诊断准确率高。窦瘤破裂对心功能影响迅速而严重且预后较差。故一经确诊,宜尽早手术治疗,以及时纠正血流动力学紊乱。窦瘤破口直径>1.0 cm者宜用补片修补。缝合或修补窦瘤时进针方向要与主动脉长轴平行,并通过主动脉瓣环及其上缘的主动脉壁,以防止窦瘤复发或残余分流。Objective To review the surgical experience in the treatment of congenital aneurysm of sinus of Valsalva （CASV）. Methods Twenty-eight patients with CASV were treated surgically from 1988 to 2006. There were 18 males and 10 females with s mean age of 27.3 years （ ranging from 9 to 52 years）. The associated cardiac anomalies included ventricular septal defect （VSD） in 18 （64%） and aortic valve prolapse in seven （25%） patients. Results There was no death from operation. Couclusion Now that chocardiography is a very useful diagnostic tool for CASV, it should be treated with operation as early as possible in order that the medynamic disturbance can be corrected. Ruptureof aneurysm can result in serious deterioration of cardic function and poot prognosis,

关 键 词：先天性 主动脉窦瘤 手术治疗 

分 类 号：R543.16[医药卫生—心血管疾病]